Nursing Elites

1. What is the action of the triceps reflex?

• A. Forces contraction of the triceps and extension of the arm.
• B. Forces contraction of the biceps, relaxation of the biceps, and arm extension.
• C. Causes the triceps to contract, causing the forearm to supinate and flex.
• D. Causes the triceps to relax and the upper arm to pronate and extend.

Correct answer: A

Rationale: The triceps reflex causes the triceps muscle to contract, leading to the extension of the arm. This reflex is a protective response to sudden stretching of the triceps muscle, as seen when a physician taps the triceps tendon during a physical examination. Choice A is the correct answer as it accurately reflects the action of the triceps reflex. Choices B, C, and D are incorrect because they describe actions that are not associated with the triceps reflex. Biceps contraction, forearm supination, flexion, triceps relaxation, and pronation are not part of the triceps reflex arc.

2. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

3. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

4. Which of the following are functions of the urinary system?

• A. I, II, and III
• B. II and III
• C. II, III, and IV
• D. All of the above

Correct answer: D

Rationale: The corrected answer is D, 'All of the above.' The urinary system performs multiple essential functions to maintain the body's internal environment. Synthesizing calcitriol and secreting erythropoietin are crucial roles of the kidneys. Regulating the concentrations of sodium, potassium, chloride, calcium, and other ions helps in maintaining the electrolyte balance. Reabsorbing or secreting hydrogen ions and bicarbonate is vital for managing the body's acid-base balance. Furthermore, the urinary system is involved in detecting reductions in blood volume and pressure, aiding in the maintenance of blood pressure levels and fluid balance in the body.

5. How do efferent fibers exit the spinal cord?

• A. Through the anterior aspect
• B. Through the dorsal aspect
• C. Through the ventral aspect
• D. Through the lateral aspect

Correct answer: C

Rationale: Efferent fibers, which carry motor commands, exit the spinal cord through the ventral aspect, also known as the anterior aspect. The correct answer is C, 'Through the ventral aspect.' Efferent fibers exiting through the ventral aspect are responsible for carrying motor commands from the spinal cord to the muscles and glands. Choices A, B, and D are incorrect. Efferent fibers do not exit through the dorsal, lateral, or anterior aspects of the spinal cord.

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